摘要
总结王永炎教授辨治血管性认知障碍(VCI)的经验。认为本病核心病因病机为虚气留滞、毒损脑络,以精气亏虚、脑络失养为本,痰、浊、瘀、热阻滞脑络为标,揭示了VCI因虚致滞、气滞成实、毒邪内生、络脉损伤的关键病机。以补虚行滞、解毒通络为总体治疗原则,以“养、通、清”三法为核心治法。临床中根据平台期、波动期、下滑期的不同特点,分别采用益气养血、补肾填精,宣通三焦、活血通络,清热解毒、豁痰降浊的治法,为中医临床治疗VCI提供指导。
This paper summarized the experience of professor WANG Yongyan in differentiating and treating vascular cognitive impairment(VCI).It is believed that the core etiology and pathogenesis of VCI are deficient qi retention and stagnation,and toxin damaging brain collaterals.The essence lies in depletion of essence and qi,and malnutrition of brain collaterals as the root cause,while phlegm,turbidity,stasis,and heat blocking brain collaterals act as the branch aspects.It reveals the pathogenesis essence of VCI as stagnation caused by deficiency and qi stagnation transforming into excess,internal generation of toxin and collateral injury.The overall therapeutic principle is to tonify deficiency,move stagnation,resolve toxin,and unblock the collaterals,guided by the three core treatment methods of nourishing,unblocking,and clearing.Clinically,according to the different characteristics of the plateau phase,fluctuation phase,and decline phase,treatment methods including replenishing qi and blood,tonifying the kidney and supplementing essence;promoting sanjiao(三焦)circulation and activating blood to dredge collaterals;clearing heat and resolving toxin,eliminating phlegm and reducing turbidity are respectively adopted.This provides clinical guidance for the treatment of VCI in traditional Chinese medicine.
作者
范逸品
李建鹏
张莹莹
王永炎(指导)
FAN Yipin;LI Jianpeng;ZHANG Yingying(Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing,100700;Dongzhimen Hospital,Beijing University of Chinese Medicine)
出处
《中医杂志》
北大核心
2025年第23期2411-2415,共5页
Journal of Traditional Chinese Medicine
基金
中国中医科学院基本科研业务费自主选题项目(Z0815,Z0913)。
关键词
血管性认知障碍
虚气留滞
毒损脑络
名医经验
王永炎
vascular cognitive impairment
deficient qi retention and stagnation
toxin damaging brain colla-terals
experience of famous doctors
WANG Yongyan
